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Patients’ experience of and participation in a stroke self-management programme, My Life After Stroke (MLAS): a multimethod study

OBJECTIVE: A self-management programme, My Life After Stroke (MLAS), was developed to support stroke survivors. This evaluation reports patients’ experience. DESIGN: Multimethod, involving interviews and questionnaires. SETTING: 23 general practices in the intervention arm of a cluster randomised co...

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Autores principales: Blatchford, Emily Grace, Aquino, Maria Raisa Jessica, Grant, Julie, Johnson, Vicki, Mullis, Ricky, Lim, Lisa, Mant, Jonathan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9668005/
https://www.ncbi.nlm.nih.gov/pubmed/36379661
http://dx.doi.org/10.1136/bmjopen-2022-062700
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author Blatchford, Emily Grace
Aquino, Maria Raisa Jessica
Grant, Julie
Johnson, Vicki
Mullis, Ricky
Lim, Lisa
Mant, Jonathan
author_facet Blatchford, Emily Grace
Aquino, Maria Raisa Jessica
Grant, Julie
Johnson, Vicki
Mullis, Ricky
Lim, Lisa
Mant, Jonathan
author_sort Blatchford, Emily Grace
collection PubMed
description OBJECTIVE: A self-management programme, My Life After Stroke (MLAS), was developed to support stroke survivors. This evaluation reports patients’ experience. DESIGN: Multimethod, involving interviews and questionnaires. SETTING: 23 general practices in the intervention arm of a cluster randomised controlled trial in East of England and East Midlands, UK. PARTICIPANTS: People on the stroke registers of participating general practices were invited to attend an MLAS programme. INTERVENTIONS: MLAS comprises one-to-one and group-based sessions to promote independence, confidence and hope. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was uptake of the programme. Participants who declined MLAS were sent a questionnaire to ascertain why. Attendees of four programmes completed evaluation forms. Attendees and non-attendees of MLAS were interviewed. Ad-hoc email conversations with the lead author were reviewed. Thematic analysis was used for qualitative data. RESULTS: 141/420 (34%) participants (mean age 71) attended an MLAS programme and 103 (73%) completed 1. 64/228 (28%) participants who declined MLAS gave reasons as: good recovery, ongoing health issues, logistical issues and inappropriate. Nearly all attendees who completed questionnaires felt that process criteria such as talking about their stroke and outcomes such as developing a strong understanding of stroke had been achieved. CONCLUSIONS: MLAS was a positive experience for participants but many stroke survivors did not feel it was appropriate for them. Participation in self-management programmes after stroke might be improved by offering them sooner after the stroke and providing a range of delivery options beyond group-based, face-to-face learning. TRIAL REGISTRATION NUMBER: NCT03353519, NIH.
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spelling pubmed-96680052022-11-17 Patients’ experience of and participation in a stroke self-management programme, My Life After Stroke (MLAS): a multimethod study Blatchford, Emily Grace Aquino, Maria Raisa Jessica Grant, Julie Johnson, Vicki Mullis, Ricky Lim, Lisa Mant, Jonathan BMJ Open Public Health OBJECTIVE: A self-management programme, My Life After Stroke (MLAS), was developed to support stroke survivors. This evaluation reports patients’ experience. DESIGN: Multimethod, involving interviews and questionnaires. SETTING: 23 general practices in the intervention arm of a cluster randomised controlled trial in East of England and East Midlands, UK. PARTICIPANTS: People on the stroke registers of participating general practices were invited to attend an MLAS programme. INTERVENTIONS: MLAS comprises one-to-one and group-based sessions to promote independence, confidence and hope. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was uptake of the programme. Participants who declined MLAS were sent a questionnaire to ascertain why. Attendees of four programmes completed evaluation forms. Attendees and non-attendees of MLAS were interviewed. Ad-hoc email conversations with the lead author were reviewed. Thematic analysis was used for qualitative data. RESULTS: 141/420 (34%) participants (mean age 71) attended an MLAS programme and 103 (73%) completed 1. 64/228 (28%) participants who declined MLAS gave reasons as: good recovery, ongoing health issues, logistical issues and inappropriate. Nearly all attendees who completed questionnaires felt that process criteria such as talking about their stroke and outcomes such as developing a strong understanding of stroke had been achieved. CONCLUSIONS: MLAS was a positive experience for participants but many stroke survivors did not feel it was appropriate for them. Participation in self-management programmes after stroke might be improved by offering them sooner after the stroke and providing a range of delivery options beyond group-based, face-to-face learning. TRIAL REGISTRATION NUMBER: NCT03353519, NIH. BMJ Publishing Group 2022-11-15 /pmc/articles/PMC9668005/ /pubmed/36379661 http://dx.doi.org/10.1136/bmjopen-2022-062700 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Public Health
Blatchford, Emily Grace
Aquino, Maria Raisa Jessica
Grant, Julie
Johnson, Vicki
Mullis, Ricky
Lim, Lisa
Mant, Jonathan
Patients’ experience of and participation in a stroke self-management programme, My Life After Stroke (MLAS): a multimethod study
title Patients’ experience of and participation in a stroke self-management programme, My Life After Stroke (MLAS): a multimethod study
title_full Patients’ experience of and participation in a stroke self-management programme, My Life After Stroke (MLAS): a multimethod study
title_fullStr Patients’ experience of and participation in a stroke self-management programme, My Life After Stroke (MLAS): a multimethod study
title_full_unstemmed Patients’ experience of and participation in a stroke self-management programme, My Life After Stroke (MLAS): a multimethod study
title_short Patients’ experience of and participation in a stroke self-management programme, My Life After Stroke (MLAS): a multimethod study
title_sort patients’ experience of and participation in a stroke self-management programme, my life after stroke (mlas): a multimethod study
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9668005/
https://www.ncbi.nlm.nih.gov/pubmed/36379661
http://dx.doi.org/10.1136/bmjopen-2022-062700
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